Nursing · NCLEX-PN

NCLEX-PN Pharmacology

Medication administration safety and common drug side effects scoped to the practical nurse role tested on NCLEX-PN.

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In the rights of medication administration, which right refers to confirming you are giving the medication to the correct person?
Right patient
In the rights of medication administration, which right refers to confirming the medication matches what was prescribed?
Right drug
In the rights of medication administration, which right refers to confirming the prepared amount matches the order?
Right dose
In the rights of medication administration, which right refers to confirming the method of delivery, such as oral or IV, matches the order?
Right route
In the rights of medication administration, which right refers to giving the dose within the approved window around its scheduled time?
Right time
In the rights of medication administration, which right requires that the dose be charted only after it is actually given?
Right documentation
Which two identifiers should a nurse use to confirm a patient's identity before giving a medication?
Full name and date of birth
At what three points should a nurse compare the medication label against the order?
When taking it from storage, when preparing it, and at the bedside before administering it
What additional safety step is required before giving a high-alert medication such as IV heparin or insulin?
An independent double-check of the dose by a second nurse
After discovering a medication error, what should the nurse do before any paperwork?
Assess the patient for adverse effects
What document records a medication error for facility review but is never placed in or referenced by the patient's chart?
An incident (occurrence) report
What is the purpose of using the Z-track technique for an IM injection?
It prevents the medication from leaking back into subcutaneous tissue and staining the skin
When drawing up regular and NPH insulin in the same syringe, which is drawn up first?
Regular (clear) insulin
Which type of insulin is the only one safe to give by IV?
Regular insulin
Before giving digoxin, what should the nurse assess and for how long?
The apical pulse, counted for one full minute

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